Thomas Spence, MD
NPI 1447221379 · Pulmonary Disease Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Spence, MD is a Pulmonary Disease Physician provider in Saint Louis, MO (NPI 1447221379).
Provider details
- NPI number
- 1447221379
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R5H59 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
982 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 264 | $123 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 106 | $10 |
| Test to Determine Lung Volumes Using Sensors94726 | 102 | $11 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 80 | $8 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 80 | $114 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 638 | 117 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 412 | 120 |
| Montelukast Sodium | 373 | 100 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 142 | 26 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 142 | 21 |
| Azithromycin | 141 | 40 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,484 across 113 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Thomas Spence's NPI number?
- Thomas Spence's National Provider Identifier (NPI) is 1447221379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Spence's specialty?
- Thomas Spence is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Spence located?
- Thomas Spence's practice location on file with NPPES is 3009 N Ballas Rd Ste 315a, Saint Louis, MO 63131-2324.
- What is Thomas Spence's phone number?
- The practice phone number listed in the NPPES registry for Thomas Spence is (314) 996-4700.
- Does Thomas Spence accept Medicare?
- Thomas Spence is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Spence's NPI active?
- Yes — Thomas Spence's NPI (1447221379) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.